2810 FOREST VIEW DR 2018-06-07 - Laserfiche WebLink

001111P:— ELECTRICAL ELECTRICAL PERMIT APPLICATION �►' = CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS:2Q)t 0 Z0r-eSt V eA V ID9--- V ti/vet- i 9)2-0'77 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED .1 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: S-f I I VI VI j CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES A NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: (Z) 2_0 Qt on GIV' i its +0 I( -1G (l1 Q1&C' W. O ch cjt/: i V1 Stogy l ($) JW-f�ce ryi ow* f-1 x-t-v v-e& , (1) -c-owl a Ind ( 1) I wittr OWNER NAME: S 1(f c/ot t"Vmiv e r TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 29311�0(-- OveSt V i eiw D9.-- CITY [Z /� r�np \ CITY Vr V�7 STATE \NA- ZIP olca2-01 OWNER PHONE:(U 41..e)YA I--�'✓l-Q2.2— OWNER EMAIL: N CONTRACTOR NAME: In House Electrical Services, Inc. CONTRACTOR ADDRESS: STREET 1530 117th DR SE C17Y Lake Stevens STATE WA ZIP 98203 CONTRACTOR PHONE:425-760-3203 CONTRACTOR EMAIL: ihepermits@gmail.com CONTRACTOR LIC.#(REQUIRED): inhoues952gg CITY OF EVERETT BUSINESS LIC.#(REQUIRED):014168 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-760-3203 Kelsey CONTACT EMAIL:ihepermits@gmail.com AGREEMENT.I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 4111POIP ` PIT Ak * ii is E ( OS -Ogq 0 er/Authorized . ign, ure Date (Revised 9/23/2016)